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Christin S Reisenauer, MD
Diagnostic Radiology Physician in Moscow, Idaho
NPI 1205802998

Christin S Reisenauer is a Diagnostic Radiology Physician based in Moscow, ID and is specialized in Diagnostic Radiology. Christin S Reisenauer practices in Moscow, ID and has the professional credentials of MD. The NPI Number for Christin S Reisenauer is 1205802998 and holds a License No. M6554 (Idaho).

The current practice location address for Christin S Reisenauer is 405 Styner Ave, Moscow, ID and can be reached out via phone at 208-882-8369 and via fax at 208-882-1887.

Location: 405 Styner Ave, Moscow, ID, 83843-0177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205802998
Provider Name
Christin S Reisenauer
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
405 Styner Ave, Moscow, ID, 83843-0177
Phone Number
208-882-8369
Fax Number
208-882-1887
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003901200 05 ID
8235863 05 WA
institution
Provider Business Practice Location Address Details
Address
405 Styner Ave
City
Moscow
State
Idaho
Zip
83843-9394
Phone Number
208-882-8369
Fax Number
208-882-1887
person
Provider Business Mailing Address Details
Address
405 Styner Ave
City
Moscow
State
Idaho
Zip
83843-9394
Phone Number
208-882-8369
Fax Number
208-882-1887
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M6554 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
M6554 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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